DR. KATHLEEN L. MOORE (NPI# 1770826687) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770826687 |
| Entity Type | Individual |
| Full Name | DR. KATHLEEN L. MOORE |
| Credential | PH.D. |
| Practice Address |
417 S Irena Ave Redondo Beach CA 90277-3819 |
| Practice Telephone | 3105407342 |
| Mailing Telephone | 3105407342 |
| Enumeration Date | 2013-03-28 |
| Last Update Date | 2013-03-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | PSY17739 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720559248 | Kathleen M Moore | Psychologist | 918 Cattail Ct, Sandpoint, ID 83864-5094 | 2018-12-10 |
| 1649672544 | Kathleen Moore | Specialist | 830 Shore Rd, Apt 2i, Long Beach, NY 11561-5401 | 2014-09-23 |
| 1932448206 | Kathleen Louise Moore | Dietitian, Registered | 3267 Mineral Springs Trl, Mt Pleasant, MI 48858-9694 | 2013-02-06 |
| 1346572740 | Kathleen A Moore | Counselor | 1221 W Laketon Ave, Muskegon, MI 49441-2866 | 2010-02-10 |
| 1558692897 | Kathleen L Moore | Licensed Practical Nurse | 99 Wood Rd, Freeville, NY 13068-9780 | 2010-01-27 |
| 1326603655 | Kathleen Moore | Occupational Therapist | 100 Groton Pkwy, Rochester, NY 14623-4540 | 2019-05-02 |
| 1477037257 | Kathleen D Moore | Speech-Language Pathologist | 3305 Central Park Village Dr, Eagan, MN 55121-7707 | 2018-09-18 |
| 1679055370 | Kathleen Bailey Moore | Registered Nurse | 109 W Main St, Moncks Corner, SC 29461-2673 | 2018-08-30 |
| 1255810768 | Kathleen S Moore | Speech-Language Pathologist | 9846 Hwy 31 E, Tyler, TX 75705-2329 | 2018-08-07 |
| 1578070553 | Kathleen Faye Moore | Counselor | 665 Philadelphia St, Indiana, PA 15701-3941 | 2017-12-29 |
| Street Address |
417 S IRENA AVE |
| City | REDONDO BEACH |
| State | CA |
| Zip Code | 90277-3819 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780215103 | Robert John Coffman | Psychologist | 316b North Pacific Coast Hwy., Redondo Beach, CA 90277 | 2020-02-04 |
| 1952949786 | Anne E Pitts | Dietitian, Registered | 360 The Village Drive Unit 207, Redondo Beach, CA 90277 | 2019-12-11 |
| 1558916841 | Dana Bryon Staub | Social Worker | 205 Ave. I, Suite 17, Redondo Beach, CA 90277 | 2019-08-05 |
| 1376033860 | Lisa Ann Graziano | Marriage & Family Therapist | 514 N. Prospect Avenue, Suite 111 Lower Level, Redondo Beach, CA 90277 | 2018-05-10 |
| 1275981326 | Carla Marie Vasquez | Marriage & Family Therapist | 901 N. Pacific Coast Highway, 200a, Redondo Beach, CA 90277 | 2016-05-31 |
| 1154793628 | Marianne M. Cuttic, Dpm, Inc | Podiatrist | 1970 S Prospect Avenue, Suite 4, Redondo Beach, CA 90277 | 2015-10-23 |
| 1841682994 | Mary Schopfel | Counselor | 901 Pacific Coast Highway, 200a, Redondo Beach, CA 90277 | 2015-02-26 |
| 1700287141 | Rose Ross | Marriage & Family Therapist | 901 North Pacific Coast Highway, Suite 200a, Redondo Beach, CA 90277 | 2014-09-04 |
| 1912307661 | Gale Hazeltine | Physical Therapist | 409 N PCh Hwy # 308, Redondo Beach, CA 90277 | 2014-08-31 |
| 1194135889 | Physical Therapy Concierge Service Inc | Clinic/Center | 704 N. Irena, B, Redondo Beach, CA 90277 | 2014-05-02 |
| Find all providers in zip 90277 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467930925 | Dr Golden Tangalakis A Psychological Corporation | Psychologist | 205a Avenida Del Norte, Redondo Beach, CA 90277-5702 | 2018-08-06 |
| 1114375672 | Hyun Kyung Lee | Psychologist | 1840 S Elena Ave Ste 207, Redondo Beach, CA 90277-5717 | 2016-05-25 |
| 1881825669 | Hana Ibrahimovic Mcdermott | Psychologist | 2000 Voorhees Ave Unit 7, Redondo Beach, CA 90278-2341 | 2009-07-28 |
| 1164622700 | Christine E. Jaynes-bell | Psychologist | 231 Vista Del Mar, Ste. C, Redondo Beach, CA 90277-5733 | 2007-07-23 |
| 1437205358 | Amy Susan Mandel | Psychologist | 1820 S Catalina Ave, Suite 108, Redondo Beach, CA 90277-5511 | 2007-01-25 |
| 1336181809 | Alan S. Lert | Psychologist | 423 S Pacific Coast Hwy, Suite 102, Redondo Beach, CA 90277-3700 | 2006-06-11 |
| 1497757538 | Gregory Alan Nelson | Psychologist | 1617 S PCh Hwy, Suite F, Redondo Beach, CA 90277-5612 | 2005-08-10 |
| 1760922991 | Oceanside Psychology Clinic | Psychologist | 212 Yacht Club Way Ste A6, Redondo Beach, CA 90277-6907 | 2017-03-07 |
| 1881053833 | Mackenzie Abraham | Psychologist | 1840 S Elena Ave, Suite 207, Redondo Beach, CA 90277-5703 | 2016-02-18 |
| 1649510223 | Julie M Woltil | Psychologist | 1426 Aviation Blvd, Suite 103, Redondo Beach, CA 90278-4002 | 2013-02-19 |
| Find all providers in REDONDO BEACH | ||||
| City | REDONDO BEACH |
| Zip Code | 90277 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.